Maternal Disability and Early Child Preventive Care.

Autor: Brown HK; Department of Health & Society, University of Toronto Scarborough, Toronto, Ontario, Canada.; Dalla Lana School of Public Health.; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.; ICES, Toronto, Ontario, Canada., Taylor C; King's College London, London, United Kingdom., Camden A; Department of Health & Society, University of Toronto Scarborough, Toronto, Ontario, Canada.; Edwin SH Leong Centre for Healthy Children.; ICES, Toronto, Ontario, Canada., Lunsky Y; Department of Psychiatry.; ICES, Toronto, Ontario, Canada.; Azrieli Adult Neurodevelopmental Centre, Centre for Addiction & Mental Health, Toronto, Ontario, Canada., Vigod S; Department of Psychiatry.; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.; ICES, Toronto, Ontario, Canada., Santiago M; ICES, Toronto, Ontario, Canada., Fung K; ICES, Toronto, Ontario, Canada., Cohen E; Edwin SH Leong Centre for Healthy Children.; Department of Pediatrics.; ICES, Toronto, Ontario, Canada.; Hospital for Sick Children, Toronto, Ontario, Canada., Guttmann A; Dalla Lana School of Public Health.; Edwin SH Leong Centre for Healthy Children.; Department of Pediatrics.; ICES, Toronto, Ontario, Canada.; Hospital for Sick Children, Toronto, Ontario, Canada., Telner D; Department of Community and Family Medicine, University of Toronto, Toronto, Ontario, Canada., Ray J; ICES, Toronto, Ontario, Canada.; Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada., Zwicker J; Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada., Saunders N; Edwin SH Leong Centre for Healthy Children.; Department of Pediatrics.; ICES, Toronto, Ontario, Canada.; Hospital for Sick Children, Toronto, Ontario, Canada.
Jazyk: angličtina
Zdroj: Pediatrics [Pediatrics] 2024 Oct 01; Vol. 154 (4).
DOI: 10.1542/peds.2024-066069
Abstrakt: Objectives: Preventive health care for children comprises routine well-child visits and immunizations. Women with physical, sensory, or intellectual or developmental disabilities tend to experience more barriers to preventive health care; yet it is unknown whether such barriers are observed among their young children.
Methods: This population-based study in Ontario, Canada included children born between 2012 and 2019 whose mothers had a physical (n = 74 084), sensory (n = 26 532), or intellectual or developmental (n = 1391) disability, multiple disabilities (n = 5774), or no disability (n = 723 442). Primary outcomes were receipt of the recommended number of well-child visits and routine immunizations in the first 2 years. Secondary outcomes included receipt of the enhanced 18-month developmental assessment and any developmental screen. Relative risks (aRR) were generated using modified Poisson regression and adjusted for maternal sociodemographics and mental health and child sex.
Results: Compared with children of mothers without disabilities, those whose mothers had intellectual or developmental disabilities were less likely to receive the recommended number of well-child visits (56.3% vs 63.2%; aRR 0.92, 95% confidence interval [CI] 0.88-0.97), routine immunizations (43.8% vs 53.7%; aRR 0.88, 95% CI 0.83-0.94), enhanced 18-month developmental assessment (52.3% vs 60.8%; aRR 0.92, 95% CI 0.88-0.97), or any developmental screen (54.9% vs 62.5%; aRR 0.94, 95% CI 0.90-0.99). Other disability groups did not experience such disparities.
Conclusions: There is a need to develop resources to improve access to preventive health care for young children of women with intellectual or developmental disabilities.
(Copyright © 2024 by the American Academy of Pediatrics.)
Databáze: MEDLINE